Delayed Onset and Prolonged ECT-Related Delirium

Electroconvulsive therapy (ECT) is effective in the treatment of depression. Delayed post-ECT delirium is rare but can occur in a small subset of patients with risk factors and in most cases resolves with the use of psychotropic medications. We report a unique presentation of a patient who developed a delayed post-ECT delirium with fecal incontinence that commenced 24 hours after the administration of ECT. The condition resolved spontaneously after 48 hours without the use of psychotropic medications.

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Adjunctive Psychotropic Medications During Electroconvulsive Therapy in the Treatment of Depression, Mania, and Schizophrenia

Journal of Ect ◽

10.1097/yct.0b013e3181eee13f ◽

2010 ◽

Vol 26 (3) ◽

pp. 196-201 ◽

Cited By ~ 20

Author(s):

Roger F. Haskett ◽

Colleen Loo

Keyword(s):

Electroconvulsive Therapy ◽

Psychotropic Medications ◽

Treatment Of Depression

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Incidence of depression and its influencing factors in 387 patients with asthma from Xinjiang, China

Allergy and Asthma Proceedings ◽

10.2500/aap.2020.41.190034 ◽

2020 ◽

Vol 41 (2) ◽

pp. e45-e53 ◽

Cited By ~ 1

Author(s):

Dilinuer Wufuer ◽

Haidiya Aierken ◽

Yan Fang ◽

Mihereguli Simayi ◽

Kelibiena Tuerxun ◽

...

Keyword(s):

Risk Factors ◽

Regression Analysis ◽

Depression Scale ◽

High Morbidity ◽

Hamilton Depression Scale ◽

Multiple Factors ◽

Asthma Symptoms ◽

Depression Status ◽

Treatment Of Depression ◽

Quality Life

Background: Our study aimed to investigate the incidence of depression in 387 patients with asthma. Methods: The Zung self-rating depression scale and the Hamilton depression scale were used to evaluate the depression status in patients with asthma. Results: Results of logistic regression analysis indicated that, severity of asthma symptoms, taking medicine, frequency of asthma onset, and lack of education were the major risk factors for depression in patients with asthma. Conclusion: Depression is a complication with high morbidity in patients with asthma. It largely affects disease control of asthma and the quality life in patients. Multiple factors are relevant for depression in the patient with asthma. This study provided a comprehensive horizon for clinical management and treatment of depression in patients with asthma.

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Faculty Opinions recommendation of Bowel disturbances are the most important risk factors for late onset fecal incontinence: a population-based case-control study in women.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.4909957.4840055 ◽

2010 ◽

Author(s):

Klaus Bielefeldt

Keyword(s):

Risk Factors ◽

Fecal Incontinence ◽

Case Control Study ◽

Late Onset ◽

Population Based ◽

Case Control ◽

Control Study

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EXPRESS: Risk factors for delayed-onset dementia after stroke or transient ischemic attack - A 5-year longitudinal cohort study

International Journal of Stroke ◽

10.1177/17474930211026519 ◽

2021 ◽

pp. 174749302110265

Author(s):

Moamina Ismail ◽

Vincent CT Mok ◽

Adrian Wong ◽

Lisa Au ◽

Brian Yiu ◽

...

Keyword(s):

Risk Factors ◽

Cohort Study ◽

Ischemic Stroke ◽

Recurrent Stroke ◽

Early Onset Dementia ◽

Delayed Onset ◽

Lower Baseline ◽

History Of ◽

Ischemic Attack ◽

Moca Score

Background Stroke not only substantially increases the risk of incident dementia early after stroke, the risk remains elevated years after. Aim We aimed to determine the risk factors of dementia onset more than 3-6 months after stroke or transient ischemic attack (TIA). Methods This is a single center prospective cohort study. We recruited consecutive subjects with stroke/TIA without early-onset dementia. We conducted an annual neuropsychological assessment for 5 years. We investigated the association between baseline demographic, clinical, genetic (APOEÎµ4 allele), and radiological factors, as well as incident recurrent stroke, with delayed-onset dementia using Cox proportional hazards models. Results 1,007 patients were recruited, of which 88 with early-onset dementia and 162 who lost to follow-ups were excluded. 49 (6.5%) out of 757 patients have incident delayed-onset dementia. The presence of â¥ 3 lacunes, history of ischemic heart disease (IHD), history of ischemic stroke and a lower baseline Hong Kong version of the Montreal Cognitive Assessment (MoCA) score, were significantly associated with delayed-onset dementia. APOEÎµ4 allele, medial temporal lobe atrophy, and recurrent stroke were not predictive. Conclusion The presence of â¥ 3 lacunes, history of IHD, history of ischemic stroke and a lower baseline MoCA score, are associated with delayed-onset dementia after stroke/TIA.

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Fecal incontinence: incidence and risk factors from the SABE (Health, Wellbeing and Aging) study

International Urogynecology Journal ◽

10.1007/s00192-021-04914-8 ◽

2022 ◽

Author(s):

José Tadeu Nunes Tamanini ◽

Osvaldo Franceschi Júnior ◽

Jair Lício Ferreira Santos ◽

Yeda Aparecida Oliveira Duarte ◽

Marair Gracio Ferreira Sartori ◽

...

Keyword(s):

Risk Factors ◽

Fecal Incontinence ◽

Aging Study

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Unilateral ECT: Advantages and Efficacy in the Treatment of Depression

The Canadian Journal of Psychiatry ◽

10.1177/070674378503000210 ◽

1985 ◽

Vol 30 (2) ◽

pp. 142-147 ◽

Cited By ~ 5

Author(s):

Réjean Fontaine ◽

Trevor Young

Keyword(s):

Electroconvulsive Therapy ◽

Recovery Time ◽

Memory Impairment ◽

Technical Aspect ◽

Drug Resistant ◽

Dominant Hemisphere ◽

Several Variables ◽

Treatment Of Depression ◽

Efficacious Treatment ◽

With Memory

Electroconvulsive therapy is an efficacious treatment for some acute or drug resistant psychiatric disorders. However, there is some concern with memory impairment and brain damage and in order to decrease these complications, some changes to the technical aspect of electroconvulsive therapy were implemented during the last few decades. One of the major changes is the use of unilateral electrical stimulation on the non-dominant hemisphere which leads to less memory impairment and faster recovery time of cognitive functions. However, for optimal efficacy several variables have to be understood and integrated: electrodes placement, interelectrodes distance, waveform stimuli.

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Incidence and risk factors for postictal delirium in patients after electroconvulsive therapy in China

10.21203/rs.3.rs-32553/v1 ◽

2020 ◽

Author(s):

Nan Cheng ◽

Dezhao Liu ◽

Yue Guo ◽

Jingyi Du ◽

Ping Xiang ◽

...

Keyword(s):

Risk Factors ◽

Heart Rate ◽

Data Analysis ◽

Electroconvulsive Therapy ◽

Chinese Patients ◽

High Heart Rate ◽

Detailed Knowledge ◽

Electroconvulsive Treatment ◽

Hemodynamic Variables ◽

First Time

Abstract Aim: This study aimed to elucidate the incidence and risk factors for postictal delirium (PID) among Chinese patients undergoing electroconvulsive therapy (ECT). Methods: In this retrospective study, 203 patients who underwent ECT in the Third Affiliated Hospital of Sun Yat-Sen University from July 2016 to July 2017 had their PID severity measured by a previously developed scale. For data analysis, two groups were created: PID patients and non-PID patients. The groups were analyzed based on three types of independent variables: patient-related, electroconvulsive treatment, and hemodynamic variables. Data analysis was performed through descriptive statistics, Chi-squared tests, Fisher exact tests, and/or independent sampled t-tests. Logistic regression analysis was used to identify independent risk factors for postictal delirium (P < 0.05).Results: Results showed that 81 patients (39.9%) developed moderate to severe PID in their first ECT session. Patients receiving ECT for the first time (P = 0.016), agitation before the ECT (P = 0.028), and high heart rate variances (P = 0.044) were identified as risk factors for PID, and they were significantly correlated with the occurrence of moderate to severe PID (P < 0.01). Conclusion: The patients receiving ECT for the first time, with agitation states before ECT and/or with high heart rate variance during ECT procedures might be at higher risk for moderate to severe PID. The medical staff related to this type of treatment may benefit from detailed knowledge about the aforementioned risk factors for predicting PID and to anticipate the best possible management for these patients.

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The effect of electroconvulsive therapy on patients' attitude to treatment of depression

Nordic Journal of Psychiatry ◽

10.1080/080394898422544 ◽

1998 ◽

Vol 52 (1) ◽

pp. 31-37 ◽

Cited By ~ 6

Author(s):

Dorte Sestoft ◽

Lisbeth Pedersen ◽

Birgitte Bjerg Bendsen ◽

Bente Hancke ◽

Anni Lisbeth Larsen ◽

...

Keyword(s):

Electroconvulsive Therapy ◽

Treatment Of Depression

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Hereditary pseudocholinesterase deficiency discovery after electroconvulsive therapy

BMJ Case Reports ◽

10.1136/bcr-2020-239206 ◽

2021 ◽

Vol 14 (1) ◽

pp. e239206

Author(s):

Basant K Pradhan ◽

Noud van Helmond ◽

Ludmil V Mitrev ◽

Angelo A Andonakakis

Keyword(s):

Motor Function ◽

Electroconvulsive Therapy ◽

Choline Ester ◽

Muscle Paralysis ◽

Anaesthetic Agents ◽

Treatment Of Depression

Inherited pseudocholinesterase deficiency refers to an uncommon defect in the butyrylcholinesterase enzyme which can result in prolonged muscle paralysis due to delayed breakdown of choline ester paralytic anaesthetic agents. We describe a 25-year-old woman receiving electroconvulsive therapy (ECT) for treatment of depression in whom motor function did not recover adequately after administration of succinylcholine. Investigated post-ECT, she was found to have severe pseudocholinesterase deficiency. Implications of pseudocholinesterase deficiency for ECT treatment and anaesthetic strategies are discussed.

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